MS. ANNE SUTHERLAND BRUNTRAGER MSN RN CPNP-PC CL NPI 1912517566

NPI Information

NPI: 1912517566
Provider Name: MS. ANNE SUTHERLAND BRUNTRAGER, MSN, RN, CPNP-PC, CL
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1 BROOKLINE PL STE 327
BROOKLINE, MA
ZIP 02445
Phone: (617) 735-8585
Get Directions

MS. Anne Sutherland Bruntrager, MSN, RN, CPNP-PC, CL is a pediatrics nurse practitioner in Brookline, MA. MS. Anne Sutherland Bruntrager, MSN, RN, CPNP-PC, CL NPI is 1912517566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 BROOKLINE PL STE 327
BROOKLINE, MA
ZIP 02445-238
Phone: (617) 735-8585

The enumeration date for this NPI number is 8/7/2020 and was last updated on 10/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN2328766	MASSACHUSETTS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	RN2328766	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN2328766	OTHER	MASSACHUSETTS	REGISTERED NURSE
2	RN2328766	OTHER	MASSACHUSETTS	NURSE PRACTITIONER LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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